Can You Get Pregnant on Nexplanon
What Every Woman Should Know About Birth Control Implants
Many women ask this question when choosing birth control because they want to feel confident in their protection.
Can you get pregnant on Nexplanon?
The answer is yes, but it is very rare.
Nexplanon is one of the most effective birth control options available today. Understanding how it works, when risks increase, and whether it is right for you can help you make a confident and informed decision.
This guidance is provided by Dr Jessica White Videa DO FACOG, a board certified OB-0GYN in Coral Springs who specializes in personalized women’s health and contraceptive care.
Key Takeaways About Nexplanon
Nexplanon is more than 99 percent effective
Fewer than 1 in 100 women become pregnant each year
Pregnancy is rare but possible
Risk increases if the implant is expired, misplaced, or affected by medications
It does not protect against sexually transmitted infections
What Is Nexplanon
Nexplanon is a small, flexible birth control implant placed under the skin of your upper arm.
It releases a hormone called progestin, which prevents pregnancy in three ways:
Stops ovulation so no egg is released
Thickens cervical mucus to block sperm
Thins the uterine lining to prevent implantation
The implant works continuously for up to 3 years and does not require daily attention.
How Effective Is Nexplanon
Nexplanon is over 99 percent effective at preventing pregnancy.
This makes it one of the most reliable forms of birth control available, similar in effectiveness to intrauterine devices.
Unlike pills or patches, Nexplanon does not rely on daily use, which reduces the risk of user error.
When Can You Get Pregnant on Nexplanon
Although uncommon, pregnancy can occur in certain situations.
Pregnancy risk may increase if:
The implant was not inserted correctly
The implant has been in place longer than 3 years
Certain medications reduce hormone effectiveness
The implant has moved or cannot be felt under the skin
If you are unsure whether your implant is in place, it is important to contact your provider.
What Medications Can Affect Nexplanon
Some medications and supplements can reduce the effectiveness of Nexplanon.
These may include:
Certain anti seizure medications
Rifampin or other antibiotics used for specific infections
Herbal supplements such as St John’s Wort
Always inform your healthcare provider about any medications or supplements you are taking.
Signs You Should See a Doctor
If you have Nexplanon and experience any of the following, seek medical care:
Missed period with pregnancy symptoms
Pelvic pain or sharp abdominal discomfort
Positive home pregnancy test
Inability to feel the implant
Pregnancy with Nexplanon may carry a higher risk of ectopic pregnancy, which requires immediate evaluation.
What Happens If You Get Pregnant on Nexplanon
If pregnancy occurs, your provider will:
Confirm the pregnancy
Evaluate for ectopic pregnancy
Recommend removal of the implant
Fertility typically returns quickly after removal, and most women resume normal ovulation within weeks.
Nexplanon Side Effects to Consider
While many women tolerate Nexplanon well, possible side effects include:
Irregular bleeding or spotting
Changes in menstrual cycles
Headaches
Mood changes
Breast tenderness
If side effects are persistent or concerning, your provider can help you explore other options.
Who Should Not Use Nexplanon
Nexplanon may not be recommended for women who:
Have a history of certain hormone sensitive conditions
Have unexplained vaginal bleeding
Are taking medications that interfere with hormonal birth control
A personalized consultation is the best way to determine if Nexplanon is right for you.
Nexplanon vs Other Birth Control Options
Compared to other methods:
More effective than birth control pills and patches when used correctly
Similar effectiveness to IUDs
Lower maintenance than daily or weekly methods
Does not protect against sexually transmitted infections
Using condoms is still recommended for STI protection.
Quick Answers About Nexplanon
Can you get pregnant on Nexplanon
Yes, but it is very rare. Nexplanon is more than 99 percent effective when inserted correctly.
How long does Nexplanon last
Nexplanon provides protection for up to 3 years and should be replaced after that time.
What makes Nexplanon less effective
Incorrect placement, leaving it in too long, or certain medications can reduce effectiveness.
Can Nexplanon stop your period
Yes, some women experience lighter periods or no periods at all while using Nexplanon.
How quickly can you get pregnant after removal
Fertility often returns quickly, sometimes within weeks after removal.
Birth Control Counseling in Coral Springs
Choosing birth control is a personal decision, and it should feel clear and supported.
At Ideal Women’s Healthcare, Dr Jessica White Videa DO FACOG provides personalized birth control counseling and comprehensive gynecologic care in Coral Springs and throughout South Florida. We take time to understand your goals, answer your questions, and help you choose the best option for your body and lifestyle.
Take the Next Step
If you are considering Nexplanon or want to explore your birth control options, now is the time to get clear answers.
Schedule your appointment today with Ideal Women’s Healthcare and receive expert, compassionate care tailored to your needs.
Your health, confidence, and peace of mind matter.
